Physician's Waste Book Ledger. April 1843 – February 1847.  

Kept by Dr. Greenberry R. Sappington, of Libertytown, Maryland. Small folio, quarter leather, block-printed boards, containing the rough daily entries of dates, charges, and a summary of treatments for patients that received medical care at his professional practice. Also includes various pasted and loose newspaper clippings, drawings, printed images, and detached notes. Suspected but not confirmed to have last been in possession by Greenberry Ridgley Sappington's wife, Sarah Elizabeth Peare.

Purchased in an auction along with other items including Dr. Greenberry Sappington’s diploma and a class notebook.

Page numbers applied by the creator are inconsistent, as some page numbers are repeated and others are skipped. (Examples: there are two pages labeled as 28 but no page 29; no page labeled as 37 but there are two pages labeled as 38; two pages are labeled as 104, but there is no page labeled as 105.) Page numbers in pencil (in the last approximate third of the volume) were presumably applied by a prior archivist.  

Many pages, especially towards the back of the volume, have been ripped out, cut, or otherwise physically altered.

 
Page numbers refer to PDF pages, not page numbers applied by original creator. 

p.4 – Loose printed poem; most likely was once pasted on page.  
p.5 – Various printed poems and one image pasted over handwritten script. Exclusive scans of poem immediately following.  
p.7 – Various printed poems and one image pasted over handwritten script. Exclusive scans of poems and image immediately following.  
p.13 - Various printed poems and one image pasted over handwritten script.  
p.15- Various printed poems and one image pasted over handwritten script.
p. 16 – One image pasted over handwritten script.  
p.18 – One loose image, one pasted image, and one printed poem pasted over handwritten script. Exclusive scans of poems and image immediately following.   

p.26 – Various loose printed poems as well as one detached page of ledger, most likely from this waste book. Exclusive scans of poems and image immediately following.  
p.94 – Loose sketch of plant clipping. Loose clippings of handwritten text with mathematical equations. Exclusive scans of poems and image immediately following.  
p.141 – Loose printed poem. Exclusive scan of the poem immediately following.  
p.170 – Extensive physical alternations begin (pages torn, ripped out, and cut).
p. 176 – Various loose printed poems. Exclusive scans of poems immediately following.